Decatur, IL 62526 · CMS Certification Number 140135. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,539 | $94,217 | 6.1× | $12,057 |
| Shoulder replacement | $22,730 | $164,293 | 7.2× | $17,185 |
| Hip replacement after a fracture (DRG 522) | $15,104 | $80,719 | 5.3× | — |
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 372 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Decatur Memorial Hospital an average of $15,539 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $12,057 per outpatient case (APC 5115, 236 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $94,217, 6.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Medicare paid Decatur Memorial Hospital more than 62% of the 45 Illinois hospitals that report inpatient hip or knee replacement.